3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations. State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

A renewal inspection was conducted 1/28/26 and 1/30/26. The emergency plan was reviewed on 1/30/26. The emergency plan did not include a continuity plan for operations in times of an emergency.

Corrected Corrected by Mar 15, 2026

Category: ratio. Marked corrected in the state record.

3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

A renewal inspection was conducted 1/28/26 and 1/30/26. The insurance policy could not be located during the inspection.

Corrected Corrected by Feb 12, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility. TIERED LIS 1. The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility. The operator shall provide a correction date for when the emergency plan will be updated. 2. The legal entity must arrange for the legal entity, the director, and anyone responsible for maintaining the facility emergency plan to complete the Better Kid Care training entitled "Center and Group Emergency Plans and Preparation." The operator shall provide a correction date for when the training will be completed.

A renewal inspection was conducted 1/28/26 and 1/30/26. The emergency plan on file was dated 1/23/25 and included the former director and former staff in the emergency plan. The plan had not been updated to include the current director and currently employed staff.

Corrected Corrected by Mar 21, 2026

Category: ratio. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. TIERED LIS 1. The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility. The operator shall provide a correction date for when the training will be completed. 2. The person responsible for hiring staff must create a hiring checklist. The checklist should include an outline of what needs to be in a staff file and by when. The hiring checklist must be submitted to Northeast Regional Office for approval. Once approved, the child care center will use the hiring checklist whenever a new staff is hired and maintaining the staff file throughout the year. The operator shall provide a correction date for when the hiring checklist will be ready for use.

A renewal inspection was conducted 1/28/26 and 1/30/26. The staff files were reviewed on 1/30/26. The file for Staff Person #1 did not include emergency plan training. Staff Person #1 has been employed longer than 90 days. The file for Staff Person #3 did not include emergency plan training. Staff Person #3 has been employed longer than 90 days.

Corrected Corrected by Mar 21, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/30/26, Staff Person #1 and Staff Person #2, who are both aides, were observed supervising one infant and four toddlers. The two staff were not supervised by any other staff during this time.

Corrected Corrected by Jan 30, 2026

Category: supervision. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, an uncovered electrical outlet was observed in the gym and five uncovered electrical outlets in a live power strip were observed on the floor in the upper left annex room.

Corrected Corrected by Jan 28, 2026

Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, Behr ceiling flat paint was observed on the floor of the upper right annex room. The door to the room was open. The paint was labeled "keep out of reach of children." The paint was accessible to the children in the center.

Corrected Corrected by Jan 28, 2026

Marked corrected in the state record.

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, the wall heaters approximately 12 inches high on each side of the entrance to the annex building from the playground reached temperatures of 182° F and 142° F. The heaters are accessible to the children in care. On 1/30/26, new vents had been installed over the wall heaters. The wall heater to the left of the entrance was not on during the inspection. The wall heater to the right of the entrance was on and the heater reached a temperature of 179° F during the inspection.

Corrected Corrected by Feb 13, 2026

Category: physical safety. Marked corrected in the state record.

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, peeling paint was observed in the annex in the downstairs L-shaped room next to the bathroom further from the stairs and in the bathroom closer to the stairs next to the toilet. Peeling paint was observed on the walls of the gym. In the upper annex room on the right, peeling paint was observed next to the door.

Corrected Corrected by Mar 21, 2026

Category: physical safety. Marked corrected in the state record.

3270.101(a)/3270.103 · Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths. TIERED LIS 1. Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths. This portion of the plan shall have an immediate correction date. 2. The legal entity must arrange for all staff to receive a minimum of two hours of training regarding Health & Safety -- Healthy Environment. The training must be PQAS approved, in-person, and outside of childcare hours. The legal entity must receive DHS approval of the training content prior to scheduling the training. The operator shall provide a correction date for when the training will be completed.

A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, infants, young toddlers, and older toddlers were in care in the annex on the upper level room to the right. At that time, a small screw was observed on the floor. Cubbies on low shelves were observed to contain plastic bags, small foam letters less than one inch in diameter, and magnatiles. All were accessible to the children in the room. The manufacturer's instructions for magnatiles state that they are for children ages three and up.

Corrected Corrected by Mar 21, 2026

Category: health medication. Marked corrected in the state record.

3270.121(a) · The operator shall review with the parent, at the time of application, the facility's general daily schedule, hours for which care is provided, fees, responsibilities for meals, clothing, health policies, supervision policies, night care policies, dismissal policies, transportation and pick-up arrangements.

A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/30/26, a parent handbook was provided for review. The parent handbook that was provided did not include the facility's supervision policy. The provided handbook did not reflect the current owner, director, and current contact phone number for the facility.

Corrected Corrected by Mar 21, 2026

Category: supervision. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, the child files were reviewed. The file for Child #1 did not include a child service report. The child has been enrolled at the facility longer than 6 months. The most recent child service report on file for Child #3 was dated 5/27/25, more than 6 months prior to the date of the inspection. The most recent child service report on file for Child #4 was dated 5/22/25, more than 6 months prior to the date of the inspection. The file for Child #5 did not include a child service report. The child has been enrolled at the facility longer than 6 months.

Corrected Corrected by Feb 23, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(4) · An agreement shall specify the child's arrival and departure times.

A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, the child files were reviewed. The financial agreements for the following children did not include the arrival or departure times of the child: Child #1, Child #2, Child #4, and Child #5.

Corrected Corrected by Mar 21, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, the child files were reviewed. The emergency contact form for Child #1 did not include the address of the child's physician.

Corrected Corrected by Feb 13, 2026

Category: health medication. Marked corrected in the state record.

3270.124(b)(5) · Emergency contact information must include information on the child's special needs, as specified by the child's parent, physician, physician's assistant or CRNP, which is needed in an emergency situation.

A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, the child files were reviewed. The emergency contact form for Child #1 did not include if the child has any special needs.

Corrected Corrected by Feb 23, 2026

Category: health medication. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, the child files were reviewed. The emergency contact form for Child #1 did not include the address of the release persons.

Corrected Corrected by Feb 23, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.124(c) · When children are in the facility, emergency contact information shall be present in a child care space for children receiving care in the space.

A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, the emergency contact forms for two children were not in the upper left room in the annex, where the children were receiving care.

Corrected Corrected by Feb 13, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.124(e) · A written plan identifying the means of transporting a child to emergency care and staffing provisions in the event of an emergency shall be displayed conspicuously in every child care space and shall accompany a staff person who leaves on an excursion with children.

A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, the emergency transportation plan could not be located in the gym.

Corrected Corrected by Feb 23, 2026

Category: transportation. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, the child files were reviewed. The emergency contact form and financial agreement for Child #1 had not been updated in the past six months. The dates of the last review of the forms were 6/11/26 and 6/18/25, respectively. The emergency contact form and financial agreement for Child #2 had not been updated in the past six months. The dates of the last review of the forms were 6/6/26 and 6/25/25, respectively. The financial agreement for Child #3 had not been updated in the past six months. The date of the last review of the form was 2/17/25. The financial agreement for Child #5 had not been updated in the past six months. The date of the last review of the form was 6/16/25.

Corrected Corrected by Feb 23, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.131(a)(2)/3270.182(1) · The initial health report for a young toddler must be dated no more than 6 months prior to the first day of attendance at the facility. A child's record shall contain initial and subsequent health reports.

A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, the child files were reviewed. The most recent health report on file for Child #1, a young toddler, was dated 4/30/25, more than 6 months prior to the date of the inspection.

Corrected Corrected by Mar 21, 2026

Category: health medication. Marked corrected in the state record.

3270.166(4) · Disposable nursers and bottles shall be labeled with the child's name.

A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/28/26, an unlabeled bottle was observed sitting on a shelf in the upper level room to the right in the annex.

Corrected Corrected by Jan 28, 2026

Marked corrected in the state record.

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

A renewal inspection was conducted 1/28/26 and 1/30/26. Written notification of safe routes could not be located at the child care facility and was not posted in a conspicuous location in the child care facility.

Corrected Corrected by Feb 28, 2026

Marked corrected in the state record.

3270.182(7) · A child's record shall contain reports of accidents, injuries and illnesses involving a child in care at the facility. The original report shall be given to the parent on the day of the incident. The second copy of the report shall be retained at the facility in an accident file. The third copy of the report shall be retained at the facility in the child's file.

A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/30/26, the master incident report file was reviewed. A copy of the incident reports reviewed in the master file had not been placed in the corresponding child's file. The director stated that the parent receives the original incident report and a copy is placed in the master file, but no copy is placed in the child's file.

Corrected Corrected by Feb 20, 2026

Category: health medication. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. TIERED LIS 1. Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met. The fire detection system must be tested every 30 days and documented on the fire drill log. This portion of the plan shall have an immediate correction date. 2. The operator must create a thirty-day testing schedule for testing the fire detection system through 12/31/2026 that must be provided to the Northeast Regional Office. The operator shall provide a correction date for when the schedule will be submitted. 3. For a period of two (2) months, the fire drill log must be submitted to the Northeast Regional Office for review on the day of the testing of the fire detection system. The operator shall provide a correction date for when the fire drill log will be submitted.

Continued Non-Compliance: An unannounced inspection was conducted on 9/5/25 and 9/16/25. During the inspection on 9/5/25, the thirty-day testing log for the facility's fire detection system was reviewed. The log showed that the system has not been tested within thirty days. The log showed the testing dates of 6/10/25 and not again until 7/31/25, which is 51 days. An acceptable plan of correction was received 10/3/25 with a correction date of 10/3/25. An unannounced inspection was conducted 12/19/25. At that time, the thirty-day testing log for the facility's fire detection system was reviewed. The log showed that the system has not been tested within thirty days. The log showed the testing dates of 8/29/25, and not again until 11/10/25, which is 74 days. The system had not been tested since 11/10/25, which was 39 days prior to the inspection. An acceptable plan of correction was received 1/14/26 with a correction date of 1/10/26. A renewal inspection was conducted 1/28/26 and 1/30/26. At that time, the thirty-day testing log for the facility's fire detection system was reviewed. The log showed that the system has not been tested within thirty days. The log showed the testing dates of 11/10/25, 12/10/25, and not again until 1/28/26, which is 49 days. The testing date of 12/10/25 was not included on the thirty-day testing log during the previous inspection. The director stated that a company had been out to inspect the system and they had set it off the fire detection system on 12/10/25. The system was tested and appeared operable during the inspection on 1/28/26.

Corrected Corrected by Mar 27, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.31(e) · A staff person shall obtain an annual minimum of 12 clock hours of child care training. Staff person #3 must take 12 hours of professional development to fulfill requirement for training year 7/30/24-7/30/25. Hours used to fulfill training year 7/30/24-7/30/25 may not be used to fulfill current training year.

A renewal inspection was conducted 1/28/26 and 1/30/26. The staff files were reviewed on 1/30/26. The file for Staff Person #3 did not include 12 hours of annual training during their training year from 7/30/24-7/30/25.

Corrected Corrected by Feb 13, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

A renewal inspection was conducted 1/28/26 and 1/30/26. On 1/30/26, the letter notifying local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility could not be located for review.

Corrected Corrected by Mar 15, 2026

Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

A complaint inspection was conducted 1/28/26 and 1/30/26. During the inspection, the building was observed to be in disrepair in the following areas. Water damage to the ceiling was observed in the bathroom nearest the stairs in the lower level L-shaped room of the annex. Peeling paint was observed on the wall next to the bathroom further from the stairs in the lower level L-shaped room. The bathroom further from the stairs in the lower level L-shaped room was being used as storage and the sink and toilet were not able to be accessed. Dusty and dirty vents were observed in the lower level L-shaped room and upper level room to the right in the annex. The heating vents next to the entrance to the annex from the playground were observed to be covered in dust and dirty. The accordion door in the upper level room on the right in the annex was pulled closed and had a hole in part of it. The room, which has a capacity for 11 children, was in use by eight infants and toddlers during the inspection. The accordion door was pulled shut blocking access to half of the room. The other half of the room was being used as storage. A printer, folding tables on their sides, shelves, nap mats, and other supplies filled the room preventing access from the doorway to that side of the room. In the gym in the church, peeling paint was observed along the walls. Shredded tissues and dirty tissues were observed on windowsills and on the floor of the gym in the church. The bathroom in the church was observed to have peeling paint behind the top of the toilet. The rear room of the church is being used as storage. Baby gates were observed laying on the floor. A large whiteboard was observed propped against a wall. The laminate on the cabinet doors to the vanity was observed peeling off. A water stained ceiling tile was observed in the large room in the church. The cover of a heating vent was observed laying on the floor in the large room of the church.

Corrected Corrected by Mar 15, 2026

Category: ratio. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #6 may not work in a child care position at the facility until a NJ Child Abuse Clearance is on file at the facility. Staff Person #9 may not work in a child care position at the facility until an NSOR certificate is on file at the facility. TIERED LIS: 1. The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. A director may not be hired provisionally. Staff Person #6 may not work in a child care position at the facility until a NJ Child Abuse Clearance is on file at the facility. Staff Person #9 may not work in a child care position at the facility until an NSOR certificate is on file at the facility. 2. For a period of three (3) months, the legal entity must send a complete file to the Northeast Regional Office for all new hires. New hires may not begin to work in childcare until the file has been approved by the Northeast Regional Office. The operator shall provide a correction date for when this will be completed. 3. The legal entity must arrange for the director and anyone responsible for hiring new staff and completing staff files to register for and attend the existing provider orientation conducted by the NE Regional Office on 2/25/26. The operator shall provide a correction date for when the training will be completed.

Continued Non-Compliance: An unannounced inspection was conducted on 9/5/25 and 9/16/25. During the inspection on 9/5/25, Staff Person #5 stated that they picked up the children from the bus stop unsupervised by another staff person on 8/28/25. Staff Person #5 did not have their PA State Police Clearance on file at that time. The PA State Police Clearance on file was requested and dated 9/1/25. One bus stop is located at Broadway and Smiley Ave, .2 miles and a 6 minute walk from the center according to Google Maps. The other bus stop is located at Broadway and Lynn St, .4 miles and an 11 minute walk from the center according to Google Maps. The pick up times are 3:37pm, 3:46pm, and 3:50pm. An acceptable plan of correction was received 10/3/25 with a correction date of 9/5/25. An unannounced inspection was conducted 12/19/25. At that time, Staff Person #5 was no longer employed at the facility. Staff Person #6, who resides in NJ, did not have a NJ Child Abuse Clearance on file. The request for the PA State Police Clearance for Staff Person #7 was dated 12/12/25, after their first day working with children. All required clearances for Staff Person #8 were dated after the staff's first day working with children. The PA State Police Clearance for Staff Person #8 was requested 10/8/25 and the clearance was dated 10/8/25. The PA Child Abuse Clearance for Staff Person #8 was dated 10/10/25. The DHS FBI Clearance for Staff Person #8 was dated 10/22/25. The request for the clearance was not on file. The NSOR for Staff Person #8 was dated 10/16/25 and requested 10/13/25. The PA Child Abuse Clearance for Staff Person #9 was dated 10/28/25, after their first day working with children. The DHS FBI Clearance for Staff Person #9 was dated 10/26/26, after their first day working with children. The file did not contain a request for the FBI clearance for Staff Person #9. There was no NSOR on file for Staff Person #9.

Corrected Corrected by Apr 14, 2026

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must create a policy in order to maintain proper supervision. This policy will ensure that all children are properly assigned to a staff person and supervised at all times. This policy must address supervision during transition times, such as visiting the bathroom and supervision on the playground. This policy must address supervision while transporting children and should include all excursions such as picking up/dropping off children for school. The policy must address supervision during naptime and should address staff sleeping. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all current staff and have staff sign off that they understand and will follow the supervision policy. All new staff hired must review the supervision policy with the director at their time of hire and must sign off that they understand and will follow the supervision policy. The operator shall provide a correction date for when the policy will be reviewed with all staff.

Continued Non-Compliance: A complaint investigation was conducted 9/5/25. At that time, Staff Person #2 answered the door leaving three infants unsupervised by any staff person in the infant room. Staff Person #1 was in an upstairs office working at that time and available to answer the door. Through interviews and videos, it was found that Staff Person #1 was laying on the floor sleeping during the children's naptimes and could be heard snoring while they were covering a lunch break unsupervised. On 8/25/25, Child #1 was left at the bus stop from 3:37pm until approximately 4:20pm. Staff Person #1 resigned from their position at the center on 9/5/25. Staff Person #2 resigned from their position at the center on 9/26/25. The Facility's acceptable plan of correction was received 10/27/25 indicating that the director will review the OCDEL approved Supervision Policy with all staff by 12/1/25. An unannounced inspection was conducted 12/19/25. At that time, the facility had not created a supervision policy that was approved by OCDEL and therefore had not been reviewed with all staff.

Corrected Corrected by Jan 16, 2026

Category: supervision. Marked corrected in the state record.

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child. The legal entity must create a discipline policy. This policy must specifically include positives strategies for guiding children's behavior. The discipline policy must include what to do if a staff person observes another staff person not following the discipline policy. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all current staff and have staff sign off that they understand and will follow the discipline policy. All new staff hired must review the discipline policy with the director at their time of hire and must sign off that they understand and will follow the discipline policy. The operator shall provide a correction date for when the policy will be reviewed with all staff.

Continued Non-Compliance: A complaint investigation was conducted 9/5/25. At that time, it was determined through interviews that Staff Person #1 has grabbed Child #2 with two hands on the bicep roughly and yelled, "no! stop!" loud enough that she started the other children in the group. Staff Person #1 resigned from their position at the center on 9/5/25. The Facility's acceptable plan of correction was received 10/27/25 indicating that the director will review the OCDEL approved Discipline Policy with all staff by 12/1/25. An unannounced inspection was conducted 12/19/25. At that time, the facility had not created a discipline policy that was approved by OCDEL and therefore had not been reviewed with all staff.

Corrected Corrected by Jan 16, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

Continued Non-Compliance: An unannounced inspection was conducted on 9/5/25 and 9/16/25. During the inspection on 9/5/25, the thirty day testing log for the facility's fire detection system was reviewed. The log showed that the system has not been tested within thirty days. The log showed the testing dates of 6/10/25 and not again until 7/31/25, which is 51 days. An acceptable plan of correction was received 10/3/25 with a correction date of 10/3/25. An unannounced inspection was conducted 12/19/25. At that time, the thirty day testing log for the facility's fire detection system was reviewed. The log showed that the system has not been tested within thirty days. The log showed the testing dates of 8/29/25, and not again until 11/10/25, which is 74 days. The system had not been tested since 11/10/25, which was 39 days prior to the inspection.

Corrected Corrected by Jan 10, 2026

Category: recordkeeping. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. TIERED LIS: 1. Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. This portion of the plan shall have an immediate correction date. 2. The legal entity must create a policy in order to maintain proper supervision. This policy will ensure that all children are properly assigned to a staff person and supervised at all times. This policy must address supervision during transition times, such as visiting the bathroom and supervision on the playground. This policy must address supervision while transporting children and should include all excursions such as picking up/dropping off children for school. The policy must address supervision during naptime and should address staff sleeping. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all current staff and have staff sign off that they understand and will follow the supervision policy. All new staff hired must review the supervision policy with the director at their time of hire and must sign off that they understand and will follow the supervision policy. The operator shall provide a correction date for when the policy will be reviewed with all staff.

A complaint investigation was conducted 9/5/25. At that time, Staff Person #2 answered the door leaving three infants unsupervised by any staff person in the infant room. Staff Person #1 was in an upstairs office working at that time and available to answer the door. Through interviews and videos, it was found that Staff Person #1 was laying on the floor sleeping during the children's naptimes and could be heard snoring while they were covering a lunch break unsupervised. On 8/25/25, Child #1 was left at the bus stop from 3:37pm until approximately 4:20pm. Staff Person #1 resigned from their position at the center on 9/5/25. Staff Person #2 resigned from their position at the center on 9/26/25.

Corrected Corrected by Dec 1, 2025

Category: supervision. Marked corrected in the state record.

3270.113(b) · A facility person may not use any form of physical punishment, including spanking a child. TIERED LIS: 1. A facility person may not use any form of physical punishment, including spanking a child. This portion of the plan shall have an immediate correction date. 2. The legal entity must create a discipline policy. This policy must specifically include positives strategies for guiding children's behavior. The discipline policy must include what to do if a staff person observes another staff person not following the discipline policy. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all current staff and have staff sign off that they understand and will follow the discipline policy. All new staff hired must review the discipline policy with the director at their time of hire and must sign off that they understand and will follow the discipline policy. The operator shall provide a correction date for when the policy will be reviewed with all staff.

A complaint investigation was conducted 9/5/25. At that time, it was determined through interviews that Staff Person #1 has grabbed Child #2 with two hands on the bicep roughly and yelled, "no! stop!" loud enough that she started the other children in the group. Staff Person #1 resigned from their position at the center on 9/5/25.

Corrected Corrected by Dec 1, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre- service trainings are completed, Staff Person #2, Staff Person #4, and Staff Person #5 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise Staff Person #2, Staff Person #4, and Staff Person #5 then, Staff Person #2, Staff Person #4, and Staff Person #5 may not work in a child-care position at the facility.

An unannounced inspection was conducted 9/5/25. At that time, Staff Person #2 was working unsupervised by another staff person in the infant room where they were caring for three infants. Staff Person #2 has not yet completed approved pediatric first aid and cpr training. Staff Person #4 stated that they picked up the children from the bus stop unsupervised by another staff person on 8/26/25 and 9/2/25. Staff Person #4 does not have pediatric first aid and cpr training on file. Staff Person #5 stated that they picked up the children from the bus stop unsupervised by another staff person on 8/28/25 and 9/3/25. Staff Person #5 does not have pediatric first aid and cpr training or health and safety training on file that must be completed prior to working unsupervised. One bus stop is located at Broadway and Smiley Ave, .2 miles and a 6 minute walk from the center according to Google Maps. The other bus stop is located at Broadway and Lynn St, .4 miles and an 11 minute walk from the center according to Google Maps. The pick up times are 3:37pm, 3:46pm, and 3:50pm. Staff meet the children at the bus stop and walk with them to the center. The unannounced inspection was continued on 9/16/25 to verify other compliance. At that time, Staff Person #2 was again working unsupervised by another staff person in the infant room where they were caring for three infants. Staff at the facility, including Staff Person #2, had been notified on 9/5/25 that Staff Person #2 could not work with children unsupervised until they had completed approved pediatric first aid and cpr training. Staff Person #2 stated that they had completed online pediatric first aid and cpr training, but had not yet completed an in-person portion of the training enabling them to work unsupervised.

Corrected Corrected by Sep 5, 2025

Category: supervision. Marked corrected in the state record.

3270.31(f) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Until such time as the required pediatric first aid and cpr training has been completed, staff person #2 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #2, then staff person #2 may not work in a child-care position at the facility.

An unannounced inspection was conducted on 9/5/25 and 9/16/25. During the inspection on 9/5/25, the preservice trainings were reviewed for all staff present. Staff Person #2, who has been employed longer than 90 days, has not yet completed acceptable pediatric first aid and cpr training.

Corrected Corrected by Sep 26, 2025

Category: supervision. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL.

An unannounced inspection was conducted on 9/5/25 and 9/16/25. During the inspection on 9/5/25, Staff Person #5 stated that they picked up the children from the bus stop unsupervised by another staff person on 8/28/25. Staff Person #5 did not have their PA State Police Clearance on file at that time. The PA State Police Clearance on file was requested and dated 9/1/25. One bus stop is located at Broadway and Smiley Ave, .2 miles and a 6 minute walk from the center according to Google Maps. The other bus stop is located at Broadway and Lynn St, .4 miles and an 11 minute walk from the center according to Google Maps. The pick up times are 3:37pm, 3:46pm, and 3:50pm.

Corrected Corrected by Sep 5, 2025

Category: supervision. Marked corrected in the state record.

3270.34(c) · A director shall be employed by a facility and be present at the facility site a minimum of 30 hours per week.

An unannounced inspection was conducted on 9/5/25 and 9/16/25. During the inspection on 9/16/25, staff at the facility stated that the director had resigned on 9/5/25 and the facility did not have a director at the time of the inspection.

Corrected Corrected by Nov 10, 2025

Marked corrected in the state record.

3270.37(c) · An aide or a combination of aides shall be supervised at all times by a staff person qualified at minimum as an assistant group supervisor.

An unannounced inspection was conducted on 9/5/25 and 9/16/25. During the inspection on 9/5/25, Staff Person #3, an aide, stated that they picked up the children from the bus stop unsupervised by another staff person on 9/2/25, 9/4/25, and 8/25/25. One bus stop is located at Broadway and Smiley Ave, .2 miles and a 6 minute walk from the center according to Google Maps. The other bus stop is located at Broadway and Lynn St, .4 miles and an 11 minute walk from the center according to Google Maps.

Corrected Corrected by Sep 5, 2025

Category: supervision. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times. TIERED LIS 1. When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff:child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level). The required staff:child ratios must be maintained at all times. This portion of the plan shall have an immediate correction date. 2. The legal entity must post ratio requirements in all child care spaces, including ratios in mixed age groups, 3270.52. This portion of the plan shall have a correction date when the ratios will be posted.

An unannounced inspection was conducted on 9/5/25 and 9/16/25. During the inspection on 9/5/25, it was determined through interviews and photographs, that Staff Person #4 was out of ratio on 8/28/25 with a group of 8 young and older toddlers from 8:30am - 3:30pm. Staff Person #2, who was supposed to be in ratio with Staff Person #4, was in another room next door to the classroom working on a laptop. Staff Person #4 positioned themselves at a changing table facing the room so that they could see the children from their location. Staff Person #1 resigned from their position at the center on 9/5/25.

Corrected Corrected by Oct 17, 2025

Category: ratio. Marked corrected in the state record.

3270.72(b) · Windows or doors used for ventilation shall be screened when open.

An unannounced inspection was conducted on 9/5/25 and 9/16/25. During the inspection on 9/16/25, the door leading outside from the infant room was propped open. The door was not equipped with a screen.

Corrected Corrected by Sep 5, 2025

Marked corrected in the state record.

3270.101(a)/3270.111(c) · Play equipment and materials appropriate to the developmental needs, individual interests and ages of the children shall be provided in sufficient amount and variety to preclude long waits for use. Daily activities shall promote the development of skills, social competence and self-esteem. Daily experiences shall recognize the child as an individual and give some choice of activities that respect personal privacy, lifestyle and cultural background.

An unannounced inspection was conducted on 9/5/25 and 9/16/25. During the inspection on 9/5/25, young and older toddlers were observed playing with magnatiles. The manufacturer's instructions state that magnatiles are recommended for ages three and up.

Corrected Corrected by Sep 5, 2025

Category: background checks. Marked corrected in the state record.

3270.113(d) · A facility person may not use harsh, demeaning or abusive language in the presence of children.

An unannounced inspection was conducted on 9/5/25 and 9/16/25. During the inspection on 9/5/25, it was determined through interviews that Staff Person #1 has grabbed Child #2 with two hands on the bicep roughly and yelled, "no! stop!" loud enough that she started the other children in the group. Child #4 stated that Staff Person #1 "screams at us but she's nice." Staff Person #1 resigned from their position at the center on 9/5/25.

Corrected Corrected by Sep 5, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. § 1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

An unannounced inspection was conducted on 9/5/25 and 9/16/25. During the inspection on 9/5/25, the thirty day testing log for the facility's fire detection system was reviewed. The log showed that the system has not been tested within thirty days. The log showed the testing dates of 6/10/25 and not again until 7/31/25, which is 51 days.

Corrected Corrected by Oct 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(a)(6) · Emergency drills shall be conducted annually. Annual emergency drills shall be documented and on file at the facility.

A renewal inspection was conducted 6/10/25. At that time, the emergency drill log could not be located.

Corrected Corrected by Jun 24, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.166(1) · A written statement giving the formula and feeding schedule for an infant shall be obtained from the parent.

A renewal inspection was conducted 6/10/25. At that time, there was no written feeding schedule at the center for Child #1.

Corrected Corrected by Jun 13, 2025

Category: nutrition. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

A renewal inspection was conducted on 6/10/25. At that time, the child files were reviewed. The fee agreements for Child #1, Child #2, Child #3 did not include the designated release persons.

Corrected Corrected by Jun 24, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1 and staff person #2 must be supervised, when interacting with children at a minimum by, an AGS who has completed all preservice trainings and has all qualifications to care for children unsupervised. If there are no staff person(s) available to supervise staff person #1 and staff person #2, then staff person #1 and staff person #2 may not work in a child-care position at the facility.

A renewal inspection was conducted 6/10/25. At that time, Staff person #1 and Staff Person #2 were observed to be caring for children together unsupervised by another staff. Staff person #1 has not completed the following pre- service training required prior to caring for children unsupervised: mandated reporter training, pediatric first aid and cpr training, and health and safety training. Staff person #2 has not completed the following pre- service training required prior to caring for children unsupervised: pediatric first aid and cpr training and health and safety training.

Corrected Corrected by Jun 10, 2025

Category: supervision. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

A renewal inspection was conducted 6/10/25. At that time, the staff files were reviewed. The files for Staff Person #4 and Staff Person #5 did not include documentation of emergency plan training.

Corrected Corrected by Jun 24, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.32(a) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services).

A renewal inspection was conducted 6/10/25. At that time, the preservice training was reviewed for all staff. The mandated reporter training on file for Staff Person #3 was completed on 4/29/25, more than 90 days after their date of hire.

Corrected Corrected by Jun 10, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

A renewal inspection was conducted 6/10/25. At that time, an electrical outlet without a protective receptacle cover was observed in the infant room approximately twelve inches from the floor. An extension cord on the floor of the young toddler room was plugged into an outlet and was equipped with three electrical outlets that were not covered with protective receptacle covers nor the child safety feature.

Corrected Corrected by Jun 10, 2025

Marked corrected in the state record.

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

A renewal inspection was conducted 6/10/25. At that time, a Chobani yogurt was observed in a child's cubby in the school age room.

Corrected Corrected by Jun 10, 2025

Category: nutrition. Marked corrected in the state record.

3270.71 · Hot water pipes and other sources of heat exceeding 110° F that are accessible to children shall be equipped with protective guards or shall be insulated to prevent direct contact.

A renewal inspection was conducted 6/10/25. At that time, the sink used for handwashing in the Pre-K Room reached a temperature of 121° F and the sink used for handwashing in the young toddler room reached a temperature of 121° F.

Corrected Corrected by Jun 17, 2025

Category: health medication. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

A renewal inspection was conducted 6/10/25. At that time, a hole was observed on the left wall near the floor of the indoor play space. The sink in the far left of the older toddler area was dirty.

Corrected Corrected by Jun 24, 2025

Category: physical safety. Marked corrected in the state record.

3270.77(a) · Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

A renewal inspection was conducted 6/10/25. At that time, peeling paint was observed on the yellow wall across from the bathrooms in the older toddler room.

Corrected Corrected by Jun 24, 2025

Category: physical safety. Marked corrected in the state record.

3270.102(e) · Pea gravel and other materials with a diameter of less than 1 inch may not be used in spaces where infants or toddlers receive care.

A renewal inspection was conducted 6/10/25. At that time, mulch was observed scattered on the toddler side of the playground.

Corrected Corrected by Jun 18, 2025

Category: physical safety. Marked corrected in the state record.

3270.106(a) · Individual, clean, age-appropriate rest equipment shall be provided for preschool, toddler and infant children as agreed between the child's parent and the operator. The rest equipment shall be labeled for the use of a specific child and used only by the specified child.

A renewal inspection was conducted 6/10/25. At that time, the crib in use by Child #1 was not labeled with the child's name.

Corrected Corrected by Jun 18, 2025

Category: physical safety. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

A renewal inspection was conducted on 6/10/25. At that time, the child files were reviewed. The fee agreements for Child #1, Child #2, Child #3 did not include the services provided by the center.

Corrected Corrected by Jun 24, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(6) · An agreement shall specify the date of the child's admission.

A renewal inspection was conducted on 7/22/24. At that time, the child files were reviewed. The fee agreements for Child #2 and Child #3 did not include the date of the child's admission.

Corrected Corrected by Jun 24, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(2) · Emergency contact information must include the name, address and telephone number of the child's physician or source of medical care.

A renewal inspection was conducted on 6/10/25. At that time, the child files were reviewed. The emergency contact form for Child #2 did not include the name of the child's physician.

Corrected Corrected by Jun 24, 2025

Category: health medication. Marked corrected in the state record.

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

A renewal inspection was conducted 6/10/25. At that time, the child files were reviewed. The emergency contact forms for Child #1 and Child #2 did not include the business name, address, and phone number of the parents. The emergency contact form for Child #3 did not include the business phone number of the mother.

Corrected Corrected by Jun 24, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

A renewal inspection was conducted 6/10/25. At that time, the child files were reviewed. The emergency contact form for Child #3 did not include the address of the release person.

Corrected Corrected by Jun 24, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.134(a) · A staff person shall ensure that a child's hands are washed before meals and snacks, after toileting and after being diapered.

A renewal inspection was conducted 6/10/25. At that time, Staff Person #1 stated that they do not use the sink next to the changing table for handwashing after diaper. The children are walked through the gate, into the bathroom in the next room to wash the child's hands.

Corrected Corrected by Jun 10, 2025

Category: health medication. Marked corrected in the state record.

3270.135(b) · Diaper changing surfaces shall be cleaned after each use by wiping the surface with a sanitizing solution or by changing a pad or other surface covering.

A renewal inspection was conducted 6/10/25. At that time, the changing pad in the toddler bathroom used for diapering was ripped and was unable to be properly cleaned and sanitized after each use.

Corrected Corrected by Jun 17, 2025

Category: health medication. Marked corrected in the state record.

3270.31(f)(10) · Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire.

A renewal inspection was conducted 6/10/25. At that time, the preservice training was reviewed for all staff. The health and safety training on file for Staff Person #3 was completed on 5/12/25, more than 90 days after their date of hire.

Corrected Corrected by Jun 10, 2025

Category: health medication. Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

A renewal inspection was conducted 6/10/25. At that time, the fire drill log could not be located.

Corrected Corrected by Jun 24, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

A renewal inspection was conducted 6/10/25. At that time, documentation that the fire detection system is tested every thirty days could not be located.

Corrected Corrected by Jun 24, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

Continued Non-Compliance: A renewal inspection was conducted 10/22/24. At that time, the child files were reviewed. The most recent health report on file for Child #4, a young toddler, was dated 1/29/24. The most recent health report on file for Child #5, an infant, was dated 2/1/24. An acceptable plan of correction was received 12/9/24 with a correction date of 12/30/24. An unannounced inspection was conducted 1/10/25. At that time, the most recent health report on file for Child #4, a young toddler, was dated 1/29/24. An acceptable plan of correction was received 1/23/25 with a correction date of 1/23/25. An unannounced inspection was conducted 1/24/25. At that time, the most recent health report on file for Child #4, a young toddler, was dated 1/29/24. The facility's acceptable plan of correction indicated the correction would be implemented by 1/31/25. On 2/28/25, an unannounced inspection was conducted. At that time, the most recent health report on file for Child #4, a young toddler, was dated 1/29/24.

Corrected Corrected by Mar 14, 2025

Category: health medication. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #2 may not work in a child care position at the facility until an NSOR certificate is on file. Staff Person #6 may not work in a child care position at the facility until an NSOR certificate is on file. Staff Person #8 may not work in a child care position at the facility until a PA State Police Clearance is on file.

A renewal inspection was conducted 10/22/24. At that time, the staff files were reviewed. The file for Staff Person #2 did not contain a child abuse clearance, NSOR certificate, request for the NSOR certificate, or a signed disclosure statement. The file for Staff Person #5, who has been employed more than 90 days, contained expired mandated reporter training dated 7/31/19. The file for Staff Person #6 did not include a signed disclosure statement. An acceptable plan of correction was received 11/27/24 with a correction date of 10/22/24. An unannounced inspection was conducted 1/10/25. At that time, the file for Staff Person #2 still did not contain a child abuse clearance, NSOR certificate, request for the NSOR certificate, or a signed disclosure statement. The director stated that Staff Person #2 has not been working recently but had worked there most recently in December 2024. The file for Staff Person #6, who has been employed longer than 45 days, did not include a complete NSOR certificate or signed disclosure statement. Staff Person #6 was working at the facility caring for children during the inspection. The file for Staff Person #7, who was observed working at the facility caring for children during the inspection, did not include a PA Child Abuse Clearance. The file for Staff Person #8, who was observed working at the facility caring for children during the inspection, did not include a PA State Police Clearance or the request for the PA State Police Clearance. Staff Person #5 is no longer employed at the facility. An acceptable plan of correction was received 1/23/25 with a correction date of 1/10/25. An unannounced inspection was conducted 1/24/25. At that time, the file for Staff Person #2, who has been employed longer than 45 days, still did not contain an NSOR certificate, request for the NSOR certificate, or a signed disclosure statement. Staff Person #2 was observed working unsupervised in the infant room during the inspection. The file for Staff Person #6, who has been employed longer than 45 days, did not include a complete NSOR certificate or signed disclosure statement. Staff Person #6 was not working on 1/24/25 due to illness but had been working at the center earlier in the week. The file for Staff Person #8 contained a PA State Police Clearance dated 8/14/2018, which is more than 60 months old. Staff Person #8 was not working at the center on 1/24/25 but had been working at the center earlier in the week.

Corrected Corrected by Jan 24, 2025

Category: supervision. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

A renewal inspection was conducted 10/22/24. At that time, the staff files were reviewed. The most recent staff evaluation on file for Staff Person #3 was dated 4/17/23. The most recent staff evaluation for Staff Person #4 was dated 4/17/23. An acceptable plan of correction was received 11/27/24 with a correction date of 12/23/24. An unannounced inspection was conducted 1/10/25. At that time, the director stated that a staff evaluation for Staff Person #3 had not yet been completed. An acceptable plan of correction was received 1/23/25 with a correction date of 1/23/25. An unannounced inspection was conducted 1/24/25. At that time, the director stated that a staff evaluation for Staff Person #3 was not yet in the staff file.

Corrected Corrected by Jan 31, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

A complaint inspection was conducted 8/13/24. At that time, the emergency exit doorframe in the infant room was chipping apart. The walls of the gym closer to the floor were observed to have damaged plaster. The outside door to the main building from the playground, the outside door to the enter the preschool room of the smaller building located outside of the playground are chipping apart. The outside door to enter the preschool room of the smaller building does not latch unless it is forcefully closed. The right outside door from the playground to enter the smaller playground does not latch unless forcefully closed. The outside door to enter the toddler room does not latch unless forcefully closed. An acceptable plan of correction was received with a correction date of 9/28/24. A renewal inspection was conducted 10/22/24. At that time, the cover to the radiator was observed knocked off onto the floor in the large room. Water damaged ceiling tiles were observed around the ceiling fan in the infant room. An acceptable plan of correction was received 11/27/24 with a correction date of 1/8/25. An unannounced inspection was conducted 1/10/25. At that time, the same water damaged ceiling tiles were observed around the ceiling fan in the infant room. The ceiling track of the accordion wall was observed to be hanging from the ceiling in the preschool room located downstairs in the smaller building. An acceptable plan of correction was received 1/23/25 with a correction date of 1/23/25. An unannounced inspection was conducted 1/24/25. At that time, the same water damaged ceiling tiles were observed around the ceiling fan in the infant room. The ceiling track of the accordion wall was observed to be hanging from the ceiling in the preschool room located downstairs in the smaller building.

Corrected Corrected by Jan 31, 2025

Category: physical safety. Marked corrected in the state record.

3270.119 · Infants shall be placed in the sleeping position recommended by the American Academy of Pediatrics unless there is a medical reason an infant should not sleep in this position. The medical reason shall be documented in a statement signed by a physician, physician's assistant or CRNP and placed in the child's record at the facility.

An unannounced inspection was conducted 1/24/25. At that time, Child #6, an infant, was observed sleeping in a swing at the onset of the inspection at 12:40pm. Child #6 was observed still sleeping in the swing at 1:15pm.

Corrected Corrected by Jan 24, 2025

Category: health medication. Marked corrected in the state record.

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

A renewal inspection was conducted 10/22/24. At that time, the child files were reviewed. The emergency contact forms for Child #3 did not include the business name, address, and phone number of the parents. An acceptable plan of correction was received 11/27/24 with a correction date of 1/8/25. An unannounced inspection was conducted 1/10/25. At that time, the emergency contact form for Child #3 had not been updated to include the business name, address, and phone number of the parents. An acceptable plan of correction was received 1/23/25 with a correction date of 1/23/25. An unannounced inspection was conducted 1/24/25. At that time, the emergency contact form for Child #3 had not been updated to include the business name, address, and phone number of the parents.

Corrected Corrected by Jan 31, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

A renewal inspection was conducted 10/22/24. At that time, the child files were reviewed. The emergency contact forms for Child #4 and Child #5 did not include the address of the individuals designated by the parent to whom the child may be released. An acceptable plan of correction was received 11/27/24 with a correction date of 12/23/24. An unannounced inspection was conducted 1/10/25. At that time, emergency contact forms for Child #4 and Child #5 did not include the address of the individuals designated by the parent to whom the child may be released. An acceptable plan of correction was received 1/23/25 with a correction date of 1/23/25. An unannounced inspection was conducted 1/24/25. At that time, the emergency contact forms for Child #4 and Child #5 did not include the address of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Jan 31, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

A renewal inspection was conducted 10/22/24. At that time, the child files were reviewed. The emergency contact form and fee agreement for Child #2 were last updated 10/24/23 and 9/13/23, respectively. The fee agreement for Child #3 was last updated 12/5/23. The emergency contact form and fee agreement for Child #4 were last updated 12/19/23 and 2/22/24, respectively. The emergency contact form and fee agreement for Child #5 were last updated 2/9/24 and 2/9/24, respectively. An acceptable plan of correction was received 11/27/24 with a correction date of 12/23/24. An unannounced inspection was conducted 1/10/25. At that time, emergency contact forms and fee agreements in the files for Child #2, Child #4, and Child #5 had not been updated since the aforementioned updates. An acceptable plan of correction was received 1/23/25 with a correction date of 1/23/25. An unannounced inspection was conducted 1/24/25. At that time, emergency contact forms and fee agreements in the files for Child #2, Child #4, and Child #5 had not been updated since the aforementioned updates.

Corrected Corrected by Feb 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

A renewal inspection was conducted 10/22/24. At that time, the child files were reviewed. The most recent health report on file for Child #4, a young toddler, was dated 1/29/24. The most recent health report on file for Child #5, an infant, was dated 2/1/24. An acceptable plan of correction was received 12/9/24 with a correction date of 12/30/24. An unannounced inspection was conducted 1/10/25. At that time, the most recent health report on file for Child #4, a young toddler, was dated 1/29/24. An acceptable plan of correction was received 1/23/25 with a correction date of 1/23/25. An unannounced inspection was conducted 1/24/25. At that time, the most recent health report on file for Child #4, a young toddler, was dated 1/29/24.

Corrected Corrected by Jan 31, 2025

Category: health medication. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #3 must be dismissed from care by close of business 1/24/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. Child #4 must be dismissed from care by close of business 1/24/25 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

A renewal inspection was conducted 9/27/23. At that time, the child files were reviewed. The immunization record for Child #2, an older toddler, only included one dose of the Hepatitis A immunization. The file did not include a letter of exemption for the immunization. The file for Child #3 did not include documentation of any immunizations administered and did not include a letter of exemption for the immunizations. The immunization record for Child #4, an infant, only included one dose of the DTAP, HIB, Pneumococcal, and Polio immunizations. The file did not include a letter of exemption for the immunizations. An acceptable plan of correction was received 12/9/24 with a correction date of 10/22/24 An unannounced inspection was conducted 1/10/25. At that time, staff stated that Child #2, Child #3, and Child #4 have been receiving care at the child care center. The immunization records for Child #2, Child #3, and Child #4 had not been updated and there was not a letter of exemption in the child files. An acceptable plan of correction was received 1/10/25 with a correction date of 1/23/25. An unannounced inspection was conducted 1/24/25. At that time, staff stated that Child #2, Child #3, and Child #4 have been receiving care at the child care center. The immunization records for Child #3, and Child #4 had not been updated and there was not a letter of exemption in the child files. An elementary school form letter of exemption was on file for Child #3. The file did not include a written letter of exemption from the parents of Child #3.

Corrected Corrected by Jan 24, 2025

Category: health medication. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

A renewal inspection was conducted 10/22/24. At that time, the staff files were reviewed. The file for Staff Person #2 did not include a health assessment or TB test results. The most recent health assessment on file for Staff Person #3 was dated 8/30/21. An acceptable plan of correction was received 11/27/24 with a correction date of 1/8/25. An unannounced inspection was conducted 1/10/25. At that time, new health assessments for Staff Person #2 and Staff Person #3 had not yet been obtained. The file for Staff Person #2 still did not include a health assessment or TB test results. The most recent health assessment on file for Staff Person #3 was dated 8/30/21. An acceptable plan of correction was received 1/23/25 with a correction date of 1/23/25. An unannounced inspection was conducted 1/24/25. At that time, new health assessments for Staff Person #2 and Staff Person #3 had not yet been obtained. The file for Staff Person #2 still did not include a health assessment or TB test results. The most recent health assessment on file for Staff Person #3 was dated 8/30/21.

Corrected Corrected by Jan 31, 2025

Category: ratio. Marked corrected in the state record.

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

A renewal inspection was conducted 10/22/24. At that time, the staff files were reviewed. The file for Staff Person #1 did not include verification of education or experience to qualify them as an assistant group supervisor. The file for Staff Person #5 did not include verification of education or experience to qualify them as an assistant group supervisor. The file for Staff Person #6 did not include verification of education or experience to qualify them as an aide. An acceptable plan of correction was received 12/9/24 with a correction date of 1/8/25. An unannounced inspection was conducted 1/10/25. At that time, the file for Staff Person #1 still did not include verification of education or experience to qualify them as an assistant group supervisor. The file for Staff Person #6 still did not include verification of education or experience to qualify them as an aide. An acceptable plan of correction was received 1/23/25 with a correction date of 1/23/25. An unannounced inspection was conducted 1/24/25. At that time, the file for Staff Person #1 still did not include verification of experience to qualify them as an assistant group supervisor.

Corrected Corrected by Jan 31, 2025

Category: supervision. Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

A renewal inspection was conducted 10/22/24. At that time, a letter notifying local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility could not be located. An acceptable plan of correction was received 12/9/24 with a correction date of 11/18/24. An unannounced inspection was conducted 1/10/25. At that time, a letter notifying local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility could not be located. An acceptable plan of correction was received 1/23/25 with a correction date of 1/23/25. An unannounced inspection was conducted 1/24/25. At that time, a letter notifying local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility could not be located.

Corrected Corrected by Jan 31, 2025

Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

A renewal inspection was conducted 10/22/24. At that time, the child files were reviewed. The emergency contact form and fee agreement for Child #2 were last updated 10/24/23 and 9/13/23, respectively. The fee agreement for Child #3 was last updated 12/5/23. The emergency contact form and fee agreement for Child #4 were last updated 12/19/23 and 2/22/24, respectively. The emergency contact form and fee agreement for Child #5 were last updated 2/9/24 and 2/9/24, respectively. An acceptable plan of correction was received 11/27/24 with a correction date of 12/23/24. An unannounced inspection was conducted 1/10/25. At that time, emergency contact forms and fee agreements in the files for Child #2, Child #4, and Child #5 had not been updated since the aforementioned updates.

Corrected Corrected by Jan 23, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

A renewal inspection was conducted 10/22/24. At that time, the emergency plan was reviewed. The emergency plan did not include a continuity plan for operations in times of an emergency. An acceptable plan of correction was received 12/9/24 with a correction date of 12/23/24. An unannounced inspection was conducted 1/10/25. At that time, the director stated the emergency plan had not yet been updated to include the continuity plan of operations in times of an emergency.

Corrected Corrected by Jan 24, 2025

Category: ratio. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

A renewal inspection was conducted 10/22/24. At that time, the emergency plan had not been updated to reflect the change in ownership that occurred at the facility. An acceptable plan of correction was received 11/27/24 with a correction date of 12/27/24. An unannounced inspection was conducted 1/10/25. At that time, the director stated the emergency plan was still in the process of being updated.

Corrected Corrected by Jan 24, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

A renewal inspection was conducted 10/22/24. At that time, Staff Person #3 has not received emergency plan training since 11/28/22. Staff person #5, who has been employed longer than 90 days, has not been trained in the emergency plan. All staff must receive emergency plan training once the emergency plan has been updated to reflect the change in ownership. An acceptable plan of correction was received 11/27/24 with a correction date of 1/8/25. An unannounced inspection was conducted 1/10/25. At that time, the director stated the emergency plan was still in the process of being updated and that Staff Person #3 has not yet received emergency plan training. Staff Person #5 no longer works at the facility.

Corrected Corrected by Feb 3, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

A renewal inspection was conducted 10/22/24. At that time, the staff files were reviewed. The most recent fire safety training on file for Staff Person #3 was dated 10/20/22. An acceptable plan of correction was received 11/27/24 with a correction date of 1/8/25. An unannounced inspection was conducted 1/10/25. At that time, the director stated that Staff Person #3 has not yet completed fire safety training.

Corrected Corrected by Jan 16, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #2 may not work in a child care position at the facility until a child abuse clearance and NSOR certificate are on file. Staff Person #6 may not work in a child care position at the facility until an NSOR certificate is on file. Staff Person #7 may not work in a child care position at the facility until a PA Child Abuse Clearance is on file. Staff Person #8 may not work in a child care position at the facility until a PA State Police Clearance is on file. For a period of three (3) months, the legal entity must send a complete file to the Northeast Regional Office for all new hires. New hires may not begin to work in childcare until the file has been approved by the Northeast Regional Office.

A renewal inspection was conducted 10/22/24. At that time, the staff files were reviewed. The file for Staff Person #2 did not contain a child abuse clearance, NSOR certificate, request for the NSOR certificate, or a signed disclosure statement. The file for Staff Person #5, who has been employed more than 90 days, contained expired mandated reporter training dated 7/31/19. The file for Staff Person #6 did not include a signed disclosure statement. An acceptable plan of correction was received 11/27/24 with a correction date of 10/22/24. An unannounced inspection was conducted 1/10/25. At that time, the file for Staff Person #2 still did not contain a child abuse clearance, NSOR certificate, request for the NSOR certificate, or a signed disclosure statement. The director stated that Staff Person #2 has not been working recently but had worked there most recently in December 2024. The file for Staff Person #6, who has been employed longer than 45 days, did not include a complete NSOR certificate or signed disclosure statement. Staff Person #6 was working at the facility caring for children during the inspection. The file for Staff Person #7, who was observed working at the facility caring for children during the inspection, did not include a PA Child Abuse Clearance. The file for Staff Person #8, who was observed working at the facility caring for children during the inspection, did not include a PA State Police Clearance or the request for the PA State Police Clearance. Staff Person #5 is no longer employed at the facility.

Corrected Corrected by Apr 23, 2025

Category: background checks. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #2 may not work in a child care position at the facility until a child abuse clearance and NSOR certificate are on file. Staff Person #6 may not work in a child care position at the facility until an NSOR certificate is on file. Staff Person #7 may not work in a child care position at the facility until a PA Child Abuse Clearance is on file. Staff Person #8 may not work in a child care position at the facility until a PA State Police Clearance is on file. The legal entity must arrange for the director, anyone responsible for hiring, and a representative of the Legal Entity to register for and attend the existing provider orientation conducted by the NE Regional Office on February 12, 2025.

A renewal inspection was conducted 10/22/24. At that time, the staff files were reviewed. The file for Staff Person #2 did not contain a child abuse clearance, NSOR certificate, request for the NSOR certificate, or a signed disclosure statement. The file for Staff Person #5, who has been employed more than 90 days, contained expired mandated reporter training dated 7/31/19. The file for Staff Person #6 did not include a signed disclosure statement. An acceptable plan of correction was received 11/27/24 with a correction date of 10/22/24. An unannounced inspection was conducted 1/10/25. At that time, the file for Staff Person #2 still did not contain a child abuse clearance, NSOR certificate, request for the NSOR certificate, or a signed disclosure statement. The director stated that Staff Person #2 has not been working recently but had worked there most recently in December 2024. The file for Staff Person #6, who has been employed longer than 45 days, did not include a complete NSOR certificate or signed disclosure statement. Staff Person #6 was working at the facility caring for children during the inspection. The file for Staff Person #7, who was observed working at the facility caring for children during the inspection, did not include a PA Child Abuse Clearance. The file for Staff Person #8, who was observed working at the facility caring for children during the inspection, did not include a PA State Police Clearance or the request for the PA State Police Clearance. Staff Person #5 is no longer employed at the facility.

Corrected Corrected by May 14, 2025

Category: background checks. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #2 may not work in a child care position at the facility until a child abuse clearance and NSOR certificate are on file. Staff Person #6 may not work in a child care position at the facility until an NSOR certificate is on file. Staff Person #7 may not work in a child care position at the facility until a PA Child Abuse Clearance is on file. Staff Person #8 may not work in a child care position at the facility until a PA State Police Clearance is on file.

A renewal inspection was conducted 10/22/24. At that time, the staff files were reviewed. The file for Staff Person #2 did not contain a child abuse clearance, NSOR certificate, request for the NSOR certificate, or a signed disclosure statement. The file for Staff Person #5, who has been employed more than 90 days, contained expired mandated reporter training dated 7/31/19. The file for Staff Person #6 did not include a signed disclosure statement. An acceptable plan of correction was received 11/27/24 with a correction date of 10/22/24. An unannounced inspection was conducted 1/10/25. At that time, the file for Staff Person #2 still did not contain a child abuse clearance, NSOR certificate, request for the NSOR certificate, or a signed disclosure statement. The director stated that Staff Person #2 has not been working recently but had worked there most recently in December 2024. The file for Staff Person #6, who has been employed longer than 45 days, did not include a complete NSOR certificate or signed disclosure statement. Staff Person #6 was working at the facility caring for children during the inspection. The file for Staff Person #7, who was observed working at the facility caring for children during the inspection, did not include a PA Child Abuse Clearance. The file for Staff Person #8, who was observed working at the facility caring for children during the inspection, did not include a PA State Police Clearance or the request for the PA State Police Clearance. Staff Person #5 is no longer employed at the facility.

Corrected Corrected by Jan 10, 2025

Category: background checks. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

A renewal inspection was conducted 10/22/24. At that time, the staff files were reviewed. The most recent staff evaluation on file for Staff Person #3 was dated 4/17/23. The most recent staff evaluation for Staff Person #4 was dated 4/17/23. An acceptable plan of correction was received 11/27/24 with a correction date of 12/23/24. An unannounced inspection was conducted 1/10/25. At that time, the director stated that a staff evaluation for Staff Person #3 had not yet been completed.

Corrected Corrected by Jan 23, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

A renewal inspection was conducted 10/22/24. At that time, an uncovered outlet was observed in the gym, where the toddlers were receiving care during the inspection. An acceptable plan of correction was received 11/27/24 with a correction date of 10/22/24. An unannounced inspection was conducted 1/10/25. At that time, the same uncovered outlet was observed in the gym, where the toddlers were receiving care during the inspection.

Corrected Corrected by Jan 10, 2025

Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

A complaint inspection was conducted 8/13/24. At that time, the emergency exit doorframe in the infant room was chipping apart. The walls of the gym closer to the floor were observed to have damaged plaster. The outside door to the main building from the playground, the outside door to the enter the preschool room of the smaller building located outside of the playground are chipping apart. The outside door to enter the preschool room of the smaller building does not latch unless it is forcefully closed. The right outside door from the playground to enter the smaller playground does not latch unless forcefully closed. The outside door to enter the toddler room does not latch unless forcefully closed. An acceptable plan of correction was received with a correction date of 9/28/24. A renewal inspection was conducted 10/22/24. At that time, the cover to the radiator was observed knocked off onto the floor in the large room. Water damaged ceiling tiles were observed around the ceiling fan in the infant room. An acceptable plan of correction was received 11/27/24 with a correction date of 1/8/25. An unannounced inspection was conducted 1/10/25. At that time, the same water damaged ceiling tiles were observed around the ceiling fan in the infant room. The ceiling track of the accordion wall was observed to be hanging from the ceiling in the preschool room located downstairs in the smaller building.

Corrected Corrected by Jan 23, 2025

Category: physical safety. Marked corrected in the state record.

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

A renewal inspection was conducted 10/22/24. At that time, matchbox cars and plastic bags were observed in cubbies in the toddler room. The cubbies were approximately 30 inches high and were accessible to the toddlers. The area of the playground used by toddlers was observed to have many acorns, less than an inch in diameter, scattered around the playground and were accessible to the toddlers. The padding covering the mulch in the area of the playground had space between the edges, which allowed the toddlers access to the mulch underneath, which was less than one inch in diameter. An acceptable plan of correction was received 11/27/24 with a correction date of 10/22/24. An unannounced inspection was conducted 1/10/25. At that time, plastic bags were observed in cubbies in the toddler room. The cubbies were approximately 30 inches high and were accessible to the toddlers.

Corrected Corrected by Jan 10, 2025

Category: physical safety. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

A renewal inspection was conducted 10/22/24. At that time, the child files were reviewed. The file for Child #4, who has been enrolled longer than 6 months, did not include a child service report. The file for Child #5, who has been enrolled longer than 6 months, did not include a child service report. An acceptable plan of correction was received 12/9/24 with a correction date of 12/23/24. An unannounced inspection was conducted 1/10/25. At that time, updated child service reports for Child #4 and Child #5 could not be located during the inspection.

Corrected Corrected by Jan 27, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

A renewal inspection was conducted 10/22/24. At that time, the child files were reviewed. The fee agreements used by the facility did not include a designated release person. An acceptable plan of correction was received 12/9/24 with a correction date of 11/4/24. An unannounced inspection was conducted 1/10/25. At that time, updated fee agreements including the release persons were not found in the child files.

Corrected Corrected by Jan 27, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

A renewal inspection was conducted 10/22/24. At that time, the child files were reviewed. The emergency contact forms for Child #3 did not include the business name, address, and phone number of the parents. An acceptable plan of correction was received 11/27/24 with a correction date of 1/8/25. An unannounced inspection was conducted 1/10/25. At that time, the emergency contact form for Child #3 had not been updated to include the business name, address, and phone number of the parents.

Corrected Corrected by Jan 23, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

A renewal inspection was conducted 10/22/24. At that time, the child files were reviewed. The emergency contact form for Child #1 did not include the health insurance policy number. An acceptable plan of correction was received 12/9/24 with a correction date of 12/23/24. An unannounced inspection was conducted 1/10/25. At that time, the emergency contact form for Child #1 did not include the health insurance policy number.

Corrected Corrected by Jan 31, 2025

Category: health medication. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

A renewal inspection was conducted 10/22/24. At that time, the child files were reviewed. The emergency contact forms for Child #4 and Child #5 did not include the address of the individuals designated by the parent to whom the child may be released. An acceptable plan of correction was received 11/27/24 with a correction date of 12/23/24. An unannounced inspection was conducted 1/10/25. At that time, emergency contact forms for Child #4 and Child #5 did not include the address of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Jan 23, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

A renewal inspection was conducted 10/22/24. At that time, the child files were reviewed. The most recent health report on file for Child #4, a young toddler, was dated 1/29/24. The most recent health report on file for Child #5, an infant, was dated 2/1/24. An acceptable plan of correction was received 12/9/24 with a correction date of 12/30/24. An unannounced inspection was conducted 1/10/25. At that time, the most recent health report on file for Child #4, a young toddler, was dated 1/29/24.

Corrected Corrected by Jan 23, 2025

Category: health medication. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #2 must be dismissed from care by close of business 10/22/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. Child #3 must be dismissed from care by close of business 10/22/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. Child #4 must be dismissed from care by close of business 10/22/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

A renewal inspection was conducted 9/27/23. At that time, the child files were reviewed. The immunization record for Child #2, an older toddler, only included one dose of the Hepatitis A immunization. The file did not include a letter of exemption for the immunization. The file for Child #3 did not include documentation of any immunizations administered and did not include a letter of exemption for the immunizations. The immunization record for Child #4, an infant, only included one dose of the DTAP, HIB, Pneumococcal, and Polio immunizations. The file did not include a letter of exemption for the immunizations. An acceptable plan of correction was received 12/9/24 with a correction date of 10/22/24. An unannounced inspection was conducted 1/10/25. At that time, staff stated that Child #2, Child #3, and Child #4 have been receiving care at the child care center. The immunization records for Child #2, Child #3, and Child #4 had not been updated and there was not a letter of exemption in the child files.

Corrected Corrected by Jan 10, 2025

Category: health medication. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

A renewal inspection was conducted 10/22/24. At that time, the staff files were reviewed. The file for Staff Person #2 did not include a health assessment or TB test results. The most recent health assessment on file for Staff Person #3 was dated 8/30/21. An acceptable plan of correction was received 11/27/24 with a correction date of 1/8/25. An unannounced inspection was conducted 1/10/25. At that time, new health assessments for Staff Person #2 and Staff Person #3 had not yet been obtained. The file for Staff Person #2 still did not include a health assessment or TB test results. The most recent health assessment on file for Staff Person #3 was dated 8/30/21.

Corrected Corrected by Jan 23, 2025

Category: ratio. Marked corrected in the state record.

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

A renewal inspection was conducted 10/22/24. At that time, the staff files were reviewed. The health assessment for Staff Person #1 dated 12/14/23 did not include whether the staff was free from communicable diseases. An acceptable plan of correction was received 12/9/24 with a correction date of 11/18/24. An unannounced inspection was conducted 1/10/25. At that time, Staff Person #1 did not yet have a health assessment on file that includes whether the staff was free from communicable diseases.

Corrected Corrected by Jan 24, 2025

Category: health medication. Marked corrected in the state record.

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

A renewal inspection was conducted 10/22/24. At that time, the staff files were reviewed. The health assessment for Staff Person #1 dated 12/14/23 did not include whether the staff was suitable to provide child care. An acceptable plan of correction was received 12/9/24 with a correction date of 11/18/24. An unannounced inspection was conducted 1/10/25. At that time, Staff Person #1 did not yet have a health assessment on file that includes whether the staff was suitable to provide child care.

Corrected Corrected by Jan 24, 2025

Category: health medication. Marked corrected in the state record.

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

A renewal inspection was conducted 10/22/24. At that time, written notification of safe routes was not posted in a conspicuous location in the child care facility. An acceptable plan of correction was received 12/9/24 with a correction date of 11/18/24. An unannounced inspection was conducted 1/10/25. At that time, written notification of safe routes was not posted in a conspicuous location in the child care facility.

Corrected Corrected by Jan 23, 2025

Marked corrected in the state record.

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

A renewal inspection was conducted 10/22/24. At that time, the staff files were reviewed. The file for Staff Person #1 did not include verification of education or experience to qualify them as an assistant group supervisor. The file for Staff Person #5 did not include verification of education or experience to qualify them as an assistant group supervisor. The file for Staff Person #6 did not include verification of education or experience to qualify them as an aide. An acceptable plan of correction was received 12/9/24 with a correction date of 1/8/25. An unannounced inspection was conducted 1/10/25. At that time, the file for Staff Person #1 still did not include verification of education or experience to qualify them as an assistant group supervisor. The file for Staff Person #6 still did not include verification of education or experience to qualify them as an aide.

Corrected Corrected by Jan 23, 2025

Category: supervision. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

A renewal inspection was conducted 10/22/24. At that time, the staff files were reviewed. The files for Staff Person #5 and Staff Person #6 did not include two written, nonfamily references. An acceptable plan of correction was received 11/27/24 with a correction date of 1/8/25. An unannounced inspection was conducted 1/10/25. At that time, the file for Staff Person #6 still did not include two written, nonfamily references.

Corrected Corrected by Jan 31, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

A renewal inspection was conducted 10/22/24. At that time, a letter notifying local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility could not be located. An acceptable plan of correction was received 12/9/24 with a correction date of 11/18/24. An unannounced inspection was conducted 1/10/25. At that time, a letter notifying local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility could not be located.

Corrected Corrected by Jan 23, 2025

Marked corrected in the state record.

3270.107 · A facility shall have an operable, clean refrigerator used to store potentially hazardous foods. The refrigerator shall be capable of maintaining food at 45° F or below. An operating thermometer shall be placed in the refrigerator.

A renewal inspection was conducted 10/22/24. At that time, the refrigerator in the lower right room of the annex did not contain a thermometer.

Corrected Corrected by Nov 4, 2024

Category: nutrition. Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

A renewal inspection was conducted 10/22/24. At that time, the child files were reviewed. The file for Child #4, who has been enrolled longer than 6 months, did not include a child service report. The file for Child #5, who has been enrolled longer than 6 months, did not include a child service report.

Corrected Corrected by Jan 2, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. The OCDEL ANNOUNCEMENT C-22-04 requires facility emergency plans to include continuity of operations during and after an emergency that includes continuing daily operations, backing up or retrieving health and other key records/files and managing financial issues such as paying employees and bills during the aftermath of the disaster.

A renewal inspection was conducted 10/22/24. At that time, the emergency plan was reviewed. The emergency plan did not include a continuity plan for operations in times of an emergency.

Corrected Corrected by Dec 27, 2024

Category: ratio. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Beginning April 29, 2022, all child care facilities must have a policy to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment. The policy must include, but is not limited to: · Recognition of potential signs and symptoms of shaken baby syndrome and abusive head trauma; · Strategies for coping with a crying, fussing, or distraught child; and · Address the prevention and identification of child maltreatment.

A renewal inspection was conducted 10/22/24. At that time, the facility did not have a policy to identify the prevention of shaken baby syndrome, abusive head trauma, and child maltreatment.

Corrected Corrected by Jan 8, 2025

Category: ratio. Marked corrected in the state record.

3270.18(a) · The legal entity shall have comprehensive general liability insurance to cover the persons who are on the premises. A current copy of the insurance policy shall be on file at the facility.

A renewal inspection was conducted 10/22/24. At that time, a copy of the insurance policy could not be located at the facility.

Corrected Corrected by Nov 12, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(b) · The operator shall review the emergency plan at least annually and update the plan as needed. The operator shall document in writing each review and update of the emergency plan and kept on file at the facility.

A renewal inspection was conducted 10/22/24. At that time, the emergency plan had not been updated to reflect the change in ownership that occurred at the facility.

Corrected Corrected by Dec 27, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

A renewal inspection was conducted 10/22/24. At that time, Staff Person #3 has not received emergency plan training since 11/28/22. Staff person #5, who has been employed longer than 90 days, has not been trained in the emergency plan. All staff must receive emergency plan training once the emergency plan has been updated to reflect the change in ownership.

Corrected Corrected by Jan 8, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

A renewal inspection was conducted 10/22/24. At that time, the staff files were reviewed. The most recent fire safety training on file for Staff Person #3 was dated 10/20/22.

Corrected Corrected by Jan 8, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Staff Person #2 may not work in a child care position at the facility until a child abuse clearance and NSOR certificate are on file. Staff person #5 will have until 11/8/24 to complete the required training. Until such time as the mandated reporter training has been completed, staff person #5 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #5, then staff person #5 may not work in a child-care position at the facility.

A renewal inspection was conducted 10/22/24. At that time, the staff files were reviewed. The file for Staff Person #2 did not contain a child abuse clearance, NSOR certificate, request for the NSOR certificate, or a signed disclosure statement. The file for Staff Person #5, who has been employed more than 90 days, contained expired mandated reporter training dated 7/31/19. The file for Staff Person #6 did not include a signed disclosure statement.

Corrected Corrected by Oct 22, 2024

Category: supervision. Marked corrected in the state record.

3270.34(a)(6) · A director is responsible for written evaluation of staff persons on a regular basis, a minimum of one evaluation every 12 months.

A renewal inspection was conducted 10/22/24. At that time, the staff files were reviewed. The most recent staff evaluation on file for Staff Person #3 was dated 4/17/23. The most recent staff evaluation for Staff Person #4 was dated 4/17/23.

Corrected Corrected by Dec 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.65 · Protective receptacle covers shall be placed in electrical outlets accessible to children 5 years of age or younger.

A renewal inspection was conducted 10/22/24. At that time, an uncovered outlet was observed in the gym, where the toddlers were receiving care during the inspection.

Corrected Corrected by Oct 22, 2024

Marked corrected in the state record.

3270.67(d) · Trash that has been contaminated by human secretions or excrement shall be contained in closed, plastic-lined receptacles.

A renewal inspection was conducted 10/22/24. At that time, unlidded trash cans were observed in the lower rooms of the annex. The trash cans contained used tissues and discarded food items. An unlidded trash can contained used tissues and discarded food items was observed in the upper room on the right of the annex.

Corrected Corrected by Jan 8, 2025

Category: nutrition. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

A complaint inspection was conducted 8/13/24. At that time, the emergency exit doorframe in the infant room was chipping apart. The walls of the gym closer to the floor were observed to have damaged plaster. The outside door to the main building from the playground, the outside door to the enter the preschool room of the smaller building located outside of the playground are chipping apart. The outside door to enter the preschool room of the smaller building does not latch unless it is forcefully closed. The right outside door from the playground to enter the smaller playground does not latch unless forcefully closed. The outside door to enter the toddler room does not latch unless forcefully closed. An acceptable plan of correction was received with a correction date of 9/28/24. A renewal inspection was conducted 10/22/24. At that time, the cover to the radiator was observed knocked off onto the floor in the large room. Water damaged ceiling tiles were observed around the ceiling fan in the infant room.

Corrected Corrected by Jan 8, 2025

Category: physical safety. Marked corrected in the state record.

3270.103 · Toys and objects with a diameter of less than 1 inch, objects with removable parts that have a diameter of less than 1 inch, plastic bags and styrofoam objects may not be accessible to children who are still placing objects in their mouths.

A renewal inspection was conducted 10/22/24. At that time, matchbox cars and plastic bags were observed in cubbies in the toddler room. The cubbies were approximately 30 inches high and were accessible to the toddlers. The area of the playground used by toddlers was observed to have many acorns, less than an inch in diameter, scattered around the playground and were accessible to the toddlers. The padding covering the mulch in the area of the playground had space between the edges, which allowed the toddlers access to the mulch underneath, which was less than one inch in diameter.

Corrected Corrected by Oct 22, 2024

Category: physical safety. Marked corrected in the state record.

3270.123(a)(5) · An agreement shall specify the persons designated by a parent to whom the child may be released.

A renewal inspection was conducted 10/22/24. At that time, the child files were reviewed. The fee agreements used by the facility did not include a designated release person.

Corrected Corrected by Jan 8, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(3) · Emergency contact information must include the home and work addresses and telephone numbers of the enrolling parent.

A renewal inspection was conducted 10/22/24. At that time, the child files were reviewed. The emergency contact forms for Child #3 did not include the business name, address, and phone number of the parents.

Corrected Corrected by Jan 8, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.124(b)(6) · Emergency contact information must include health insurance coverage and policy number for a child under a family policy or Medical Assistance benefits, if applicable.

A renewal inspection was conducted 10/22/24. At that time, the child files were reviewed. The emergency contact forms for Child #1 did not include the health insurance policy number.

Corrected Corrected by Jan 8, 2025

Category: health medication. Marked corrected in the state record.

3270.124(b)(7) · Emergency contact information must include the name, address and telephone number of the individual designated by the parent to whom the child may be released.

A renewal inspection was conducted 10/22/24. At that time, the child files were reviewed. The emergency contact forms for Child #4 and Child #5 did not include the address of the individuals designated by the parent to whom the child may be released.

Corrected Corrected by Dec 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.124(f)/3270.181(c) · The parent shall update in writing emergency contact information once in a 6-month period or as soon as there is a change in the information. A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

A renewal inspection was conducted 10/22/24. At that time, the child files were reviewed. The emergency contact form and fee agreement for Child #2 were last updated 10/24/23 and 9/13/23, respectively. The fee agreement for Child #3 was last updated 12/5/23. The emergency contact form and fee agreement for Child #4 were last updated 12/19/23 and 2/22/24, respectively. The emergency contact form and fee agreement for Child #5 were last updated 2/9/24 and 2/9/24, respectively.

Corrected Corrected by Dec 23, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.131(b)(1) · The operator shall require the parent to provide an updated health report at least every 6 months for an infant or young toddler.

A renewal inspection was conducted 10/22/24. At that time, the child files were reviewed. The most recent health report on file for Child #4, a young toddler, was dated 1/29/24. The most recent health report on file for Child #5, an infant, was dated 2/1/24.

Corrected Corrected by Jan 8, 2025

Category: health medication. Marked corrected in the state record.

3270.131(d)(5)/3270.131(e)(3) · A health report shall include a review of the child's immunized status according to recommendations of the ACIP. The facility shall implement dismissal policies in accordance with the Department of Health regulation in 28 Pa. Code § 27.77 (relating to immunization requirements for children in child care group settings). Child #2 must be dismissed from care by close of business 10/22/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. Child #3 must be dismissed from care by close of business 10/22/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter. Child #4 must be dismissed from care by close of business 10/22/24 and may only return to care when the immunization record is updated or when a parent provides a written, signed exemption letter.

A renewal inspection was conducted 9/27/23. At that time, the child files were reviewed. The immunization record for Child #2, an older toddler, only included one dose of the Hepatitis A immunization. The file did not include a letter of exemption for the immunization. The file for Child #3 did not include documentation of any immunizations administered and did not include a letter of exemption for the immunizations. The immunization record for Child #4, an infant, only included one dose of the DTAP, HIB, Pneumococcal, and Polio immunizations. The file did not include a letter of exemption for the immunizations.

Corrected Corrected by Jan 8, 2025

Category: health medication. Marked corrected in the state record.

3270.133(4) · Medication shall be stored in a locked area of the facility or in an area that is out of the reach of children.

A renewal inspection was conducted 10/22/24. At that time, Desitin diaper creams were observed on the counter next to the changing table in the bathroom, where it was accessible to the children.

Corrected Corrected by Oct 22, 2024

Category: health medication. Marked corrected in the state record.

3270.151(a)/3270.151(c)(2) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem. An adult health assessment must include tuberculosis screening by the Mantoux method at initial employment. Subsequent tuberculosis screening is not required unless directed by a physician, physician's assistant, CRNP, the Department of Health or a local health department.

A renewal inspection was conducted 10/22/24. At that time, the staff files were reviewed. The file for Staff Person #2 did not include a health assessment or TB test results. The most recent health assessment on file for Staff Person #3 was dated 8/30/21.

Corrected Corrected by Jan 8, 2025

Category: ratio. Marked corrected in the state record.

3270.151(c)(3) · An adult health assessment must include an examination for communicable diseases and the results of that examination.

A renewal inspection was conducted 10/22/24. At that time, the staff files were reviewed. The health assessment for Staff Person #1 dated 12/14/23 did not include whether the staff was free from communicable diseases.

Corrected Corrected by Jan 8, 2025

Category: health medication. Marked corrected in the state record.

3270.151(c)(5) · An adult health assessment must include the physician's or CRNP's assessment of the person's suitability to provide child care.

A renewal inspection was conducted 10/22/24. At that time, the staff files were reviewed. The health assessment for Staff Person #1 dated 12/14/23 did not include whether the staff was suitable to provide child care.

Corrected Corrected by Jan 8, 2025

Category: health medication. Marked corrected in the state record.

3270.161(d) · Potentially hazardous food brought from the child's home or provided by the facility shall be refrigerated.

A renewal inspection was conducted 10/22/24. At that time, a hard boiled egg, lunchables, and yogurt were observed in children's lunch boxes that were not refrigerated.

Corrected Corrected by Jan 8, 2025

Category: nutrition. Marked corrected in the state record.

3270.171(c) · Written notification of safe routes shall be posted by the operator at a conspicuous location in the child care facility.

A renewal inspection was conducted 10/22/24. At that time, written notification of safe routes was not posted in a conspicuous location in the child care facility.

Corrected Corrected by Jan 8, 2025

Marked corrected in the state record.

3270.192(2)(ii) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility.

A renewal inspection was conducted 10/22/24. At that time, the staff files were reviewed. The file for Staff Person #1 did not include verification of education or experience to qualify them as an assistant group supervisor. The file for Staff Person #5 did not include verification of education or experience to qualify them as an assistant group supervisor. The file for Staff Person #6 did not include verification of education or experience to qualify them as an aide.

Corrected Corrected by Jan 8, 2025

Category: supervision. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

A renewal inspection was conducted 10/22/24. At that time, the staff files were reviewed. The files for Staff Person #5 and Staff Person #6 did not include two written, nonfamily references.

Corrected Corrected by Jan 8, 2025

Category: recordkeeping. Marked corrected in the state record.

3270.171(a) · An operator shall notify local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility.

A renewal inspection was conducted 10/22/24. At that time, a letter notifying local traffic safety authorities annually in writing of the location of the facility and the program's use of pedestrian and vehicular routes around the child care facility could not be located.

Corrected Corrected by Jan 8, 2025

Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

A complaint inspection was conducted 8/13/24. At that time, the emergency exit doorframe in the infant room was chipping apart. The walls of the gym closer to the floor were observed to have damaged plaster. The outside door to the main building from the playground, the outside door to the enter the preschool room of the smaller building located outside of the playground are chipping apart. The outside door to enter the preschool room of the smaller building does not latch unless it is forcefully closed. The right outside door from the playground to enter the smaller playground does not latch unless forcefully closed. The outside door to enter the toddler room does not latch unless forcefully closed.

Corrected Corrected by Sep 28, 2024

Category: physical safety. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises. The legal entity must create a policy in order to maintain proper supervision. This policy will ensure that all children are properly assigned to a staff person and supervised at all times. This policy must address supervision while transporting children, and should include all excursions such as picking up/dropping off children for school. The legal entity must receive approval of the policy from the Regional Office. Once approved by the Regional Office, the legal entity must review policy with all staff and have staff sign off that the understand and will follow the supervision policy. This policy must be reviewed annually prior to the beginning of the school year and must be reviewed with all new staff upon hire.

A complaint investigation was conducted 6/21/24. At that time, it was discovered that no staff went to pick up four children from the bus stop on 6/17/24. The children were brought to the facility by a parent at the bus stop.

Corrected Corrected by Aug 12, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times. Each staff person shall be assigned the responsibility for supervision of specific children. The staff person shall know the names and whereabouts of the children in his assigned group. The staff person shall be physically present with the children in his group on the facility premises and on facility excursions off the facility premises.

A complaint investigation was conducted 6/21/24. At that time, it was discovered that no staff went to pick up four children from the bus stop on 6/17/24. The children were brought to the facility by a parent at the bus stop.

Corrected Corrected by Jun 21, 2024

Category: supervision. Marked corrected in the state record.

3270.31(f)/3270.31(f)(10) · Staff persons shall complete professional development within 90 days of hire as listed in subsections (f)1-10. Staff persons shall complete professional development in pediatric first aid and pediatric cardiopulmonary resuscitation within 90 days of hire. Staff person #2 and staff person #4 will have until 7/27/24 to complete the required training. Until such time as the required training has been completed, staff person #2 and staff person #4 must be supervised, when interacting with children, by a AGS who has completed the required training related to this citation. If there are no staff available to supervise staff person #2 and staff person #4 then staff person #2 and staff person #4 may not work in a child-care position at the facility.

An unannounced inspection was conducted 6/21/24. At that time, the preservice training was reviewed for the staff present. Staff Person #2 and Staff Person #4 do not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 2/7/22.

Corrected Corrected by Jun 29, 2024

Category: supervision. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children. Until such time as the required pre-service trainings are completed, staff person #1, staff person #2, staff person #3, and staff person #4 must be supervised, when interacting with children, by an AGS who has completed the required training related to this citation. If there are no staff person(s) available to supervise staff person #1, staff person #2, staff person #3, and staff person #4, then staff person #1, staff person #2, staff person #3, and staff person #4 may not work in a child-care position at the facility.

An unannounced inspection was conducted 6/21/24. At that time, Staff Person #1 was observed to be caring for four school age children unsupervised. Staff person #1 has not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid/cpr training, health and safety training, mandated reporter training. Staff Person #2 was observed to be caring for two infants unsupervised. Staff person #2 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 2/7/22. Staff Person #3 was observed to be caring for five preschool age children unsupervised. Staff person #3 has not completed the following pre-service training required prior to caring for children unsupervised: pediatric first aid/cpr training, health and safety training, mandated reporter training. Staff Person #4 was observed to be caring for five preschool age children unsupervised. Staff person #4 does not have current pediatric first-aid/CPR training. This is evidenced by the previously documented pediatric first-aid/CPR training expiration date of 2/7/22.

Corrected Corrected by Jun 21, 2024

Category: supervision. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)). The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

An unannounced inspection was conducted 6/21/24. At that time, the thirty day testing log of the fire detection system could not be located for review. The center director states that the facility is able to manually test the fire detection system.

Corrected Corrected by Jun 24, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.52 · When children are grouped in mixed age levels, the age of the youngest child in the group determines the staff: child ratio and maximum group size in accordance with the requirements in § 3270.51 (relating to similar age level).

During a complaint investigation on 3/8/24, multiple facility staff report being out of ratio at numerous times throughout the day at facility with mixed aged ratios. Staff report this has been ongoing since November 2023.

Corrected Corrected by Mar 8, 2024

Category: ratio. Marked corrected in the state record.

3270.66(a) · Cleaning materials and other toxic materials shall be kept in an area or container that is locked or made inaccessible to children.

There is toxic Envirox Heavy Duty cleaner on a rolling cart in the indoor play gym accessible to the children. The cleaner bottle states in bold "Keep out of reach of children".

Corrected Corrected by Mar 8, 2024

Category: physical safety. Marked corrected in the state record.

3270.76/3270.77(a) · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

There is peeling chipped paint on the aqua green walls in the preschool classroom (door # 4) in the second building in the back. There are broken, chipped wooden wall panels in the on the wall near the door frame before exiting the Pre-K classroom in the first building.

Corrected Corrected by Mar 9, 2024

Category: physical safety. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. Children must be supervised at all times.

During a complaint investigation on 3/8/24, multiple facility staff reported that facility staff # 1 has been observed multiple times on her phone looking at Facebook and not supervising the infants in the infant room.

Corrected Corrected by Mar 8, 2024

Category: supervision. Marked corrected in the state record.

3270.113(a)/3270.113(a)(1) · Children on the facility premises and on facility excursions off the premises shall be supervised by a staff person at all times. Outdoor play space used by the facility is considered part of the facility premises. The legal entity must arrange for all facility staff to receive a minimum of two hours of PQAS approved training regarding supervision of children. The legal entity must receive DHS approval of the training content prior to scheduling the training.

During a complaint investigation on 3/8/24, multiple facility staff reported that facility staff # 1 has been observed multiple times on her phone looking at Facebook and not supervising the infants in the infant room.

Corrected Corrected by Mar 22, 2024

Category: supervision. Marked corrected in the state record.

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Facility person # 1 hired and working in childcare does not have a health assessment on file.

Corrected Corrected by Mar 14, 2024

Category: ratio. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Facility person # 1 hired and working in childcare only has 1 reference on file.

Corrected Corrected by Mar 8, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.31(e)(4)(ii) · Staff persons shall participate, at least annually, in firesafety training conducted by a fire protection professional. Staff persons and volunteers shall receive training in maintenance of smoke detectors, the duties of facility persons during a fire drill and during a fire and the use of the facility's fire extinguishers, not including discharge of the fire suppressant agent.

Facility staff # 1,2,3, & 4 have not had fire safety training in over 12 months.

Corrected Corrected by Jan 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.102(c) · Outdoor equipment that requires embedded mounting must be mounted over a loose-fill or unitary playground protective surface covering that meets the recommendations of the United States Consumer Product Safety Commission. The equipment must be anchored firmly and be in good repair.

The embedded outdoor play equipment on the outdoor play space used by the children does not have the required amount of mulch around the equipment as required.

Corrected Corrected by Dec 29, 2023

Category: physical safety. Marked corrected in the state record.

3270.111(a) · A written plan of daily activities and routines, including a time for free play shall be established for each group. The plan shall be flexible to accommodate the needs of individual children and the dynamics of the group.

Facility Red 2nd building Preschool/SA Room does not have a daily schedule posted.

Corrected Corrected by Dec 5, 2023

Marked corrected in the state record.

3270.123(a)(3) · The services to be provided to the family and the child, including the Department's approved form to provide information to the family about the child's growth and development in the context of the services being provided. The operator shall complete and update the form and provide a copy to the family in accordance with the updates regarding emergency contact information in § 3270.124(f) (relating to emergency contact information).

Child # 1, 2 and # 3 have not had child service reports completed in over 6 months.

Corrected Corrected by Dec 14, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.133(5) · Medication shall be stored in accordance with the manufacturer's or health professional's instructions on the original label.

There is an expired Epi Pen for child # 4 at facility. Epi Pen expired 9/9/23.

Corrected Corrected by Dec 5, 2023

Category: health medication. Marked corrected in the state record.

3270.181(c) · A parent is required to review and update the emergency contact information and the financial agreement at least once in a 6-month period or as soon as there is a change in the information.

Emergency contact forms and fee agreements have not been updated in over 6 months for child # 1, 2 & 4. Child # 1 emergency contact form and fee agreements updated 7/8/22 then on 11/14/23. Child # 2 emergency contact forms and fee agreements updated 2/24/23 then again 11/10/23. Child # 4's fee agreement has not been updated since 3/22/23 and the emergency contact forms were updated 3/22/23 to 9/13/23.

Corrected Corrected by Jan 2, 2024

Category: recordkeeping. Marked corrected in the state record.

3270.192(2)(ii)/3270.192(5) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Facility staff # 5 hired and working in childcare does not have proof of education on file and does not have 2 references on file since time of hire.

Corrected Corrected by Dec 15, 2023

Category: recordkeeping. Marked corrected in the state record.

3270.14/3270.21 · A facility shall be operated in conformity with applicable Federal and State laws and regulations.State agencies whose regulations may relate to the operation of a facility include the Department of Environmental Resources, the Department of Labor and Industry, the Department of Health, the Department of Education and the Department of Transportation. Conditions at the facility may not pose a threat to the health or safety of the children.

Facility does not have a policy for the prevention of shaken baby syndrome and how to identify and prevent abusive head trauma and child maltreatment that was required to be developed by 4/29/22.

Corrected Corrected by Dec 2, 2022

Category: ratio. Marked corrected in the state record.

3270.27(c) · The operator shall assure that each facility person receives training regarding the emergency plan at the time of initial employment, on an annual basis and at the time of each plan update. The operator shall document the date of each training and the names of all facility persons who received the training and kept on file at the facility.

Facility emergency plan was not reviewed by facility staff # 3 & # 4 in over 12 months. Facility staff # 3 last reviewed on 9/2/21 and facility staff # 4 last reviewed emergency plan on 8/30/21.

Corrected Corrected by Nov 28, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.32(a)/3270.192(4) · The operator shall comply with the CPSL and with Chapter 3490 (relating to protective services). A facility person's record shall include a copy of requests for the criminal history record and child abuse registry clearance information, a copy of the disclosure statement and a copy of the completed clearance information required under the CPSL. Facility Person #2 may not work in a childcare position at the facility.

Facility staff # 2 does not have a NSOR clearance or proof of the FBI fingerprint taken on 10/29/22 on file at facility.

Corrected Corrected by Nov 28, 2022

Category: background checks. Marked corrected in the state record.

3270.76 · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards.

Facility school aged blue bathroom wall is not in good repair or free from visible hazards.

Corrected Corrected by Dec 1, 2022

Category: physical safety. Marked corrected in the state record.

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Facility staff # 1 has not had a health assessment in over 24 months since 7/22/20.

Corrected Corrected by Nov 23, 2022

Category: ratio. Marked corrected in the state record.

3270.192(2)(ii)/3270.192(2)(iv) · A facility person's record shall include verification of child care experience, education and training prior to service at the facility. A facility person's record shall include acceptable verification of experience, education or training is a transcript or a diploma or a letter signed by a representative of the experiential, educational or training entity.

Facility staff # 2 & # 3 listed as AGS, do not have proof of experience on file, only high school diplomas. Facility staff # 2 does not have proof of education or experience on file. Proof of education and experience required at time of hire.

Corrected Corrected by Dec 2, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.192(5) · A facility person's record shall include two written, nonfamily references from individuals attesting to the person's suitability to serve as a facility person.

Facility staff # 2 does not have 2 references on file.

Corrected Corrected by Dec 2, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.76/3270.77(a) · Floors, walls, ceilings and other surfaces, including the facility's outdoor play space surfaces shall be kept clean, in good repair and free from visible hazards. Peeled or damaged paint or damaged plaster is not permitted on indoor or outdoor surfaces in the child care facility.

In the gym, there were 2 areas on the walls where there were holes and peeling paint and plaster.

Corrected Corrected by Jan 7, 2022

Category: physical safety. Marked corrected in the state record.

3270.151(a) · A facility person providing direct care who comes into contact with the children or who works with food preparation shall have a health assessment conducted within 12 months prior to providing initial service in a child care setting and every 24 months thereafter. A health assessment is valid for 24 months following the date of signature, if the person does not contract a communicable disease or develop a medical problem.

Staff Persons # 1,2, and 3 all had their health assessments conducted after they started in a child care position at the facility.

Corrected Corrected by Jan 7, 2022

Category: ratio. Marked corrected in the state record.

3270.94(a)(1) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that fire drills are conducted at least once every 60 days.

Per the facility's fire drill log, a fire drill was conducted May 6, 2021 and then not again until July 12, 2021.

Corrected Corrected by Jan 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.94(a)(4) · The Director or designated staff person who is responsible for compliance with this chapter shall conduct fire drills and ensure that the hypothetical locations of the fire are rotated around the facility for each drill such that the hypothetical location is never the same for consecutive drills.

Per the facility's fire drill log, a fire drill was conducted March 16, 2021 with the toddler room as the hypothetical location and the next fire drill on May 6, 2021 also used the toddler room as the hypothetical location.

Corrected Corrected by Jan 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.95(a)/3270.95(b) · Fire detection devices or systems must be in compliance with standards established under section 1016(c) of the act (62 P.S. §  1016(c)).The Director or designated staff person who is responsible for compliance with this chapter shall ensure the requirements under subsection (a) are met.

The Director did not have a proof of purchase for the facility's fire detection system.

Corrected Corrected by Jan 14, 2022

Category: recordkeeping. Marked corrected in the state record.

3270.27(f) · The operator shall send a copy of the emergency plan and subsequent plan updates to the local municipality and to the county emergency management agency.

The operator did not send a copy of the emergency plan to the local municipality Fountain Hill borough.

Corrected Corrected by Jan 6, 2022

Category: physical safety. Marked corrected in the state record.